NPIMap

Organization Active NPI

Presbyterian Health Physicians

  • Ophthalmology Physician
  • Fullerton, CA
National Provider Identifier
1942577937
Registry record updated Nov 19, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ophthalmology PhysicianTaxonomy code 207W00000X
License
83764 Issued in CA
Legal business name
PRESBYTERIAN HEALTH PHYSICIANS
Practice address
301 W Bastanchury
Suite 140
Fullerton, CA 92835-3427
Phone
(562) 694-2500
Fax
(562) 694-2577
NPI assigned
Nov 19, 2011
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 19, 2011

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Kimberly Dillard-Bethel
Title
Director of Business Services
Phone
(562) 789-5401

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Ophthalmology PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207W00000X 83764 CA Primary

Addresses

Primary practice location

301 W Bastanchury
Suite 140
Fullerton, CA 92835-3427

Mailing address

PO Box 1277
Whittier, CA 90609-1277
Phone (562) 789-5401

Other names 1

  • Bright Health Physicians Eye Care Center Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Gallatin Med Foundation42 organizations share this tax ID, including this one

Other organizations with this tax ID 41

Organizations that report the same tax identification number in the National Provider Directory.

View all 41

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1321660800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1321660800000",
    "number": "1942577937",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1277",
            "city": "WHITTIER",
            "state": "CA",
            "postal_code": "906091277",
            "telephone_number": "562-789-5401"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "301 W BASTANCHURY",
            "address_2": "SUITE 140",
            "city": "FULLERTON",
            "state": "CA",
            "postal_code": "928353427",
            "telephone_number": "562-694-2500",
            "fax_number": "562-694-2577"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PRESBYTERIAN HEALTH PHYSICIANS",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-11-19",
        "last_updated": "2011-11-19",
        "status": "A",
        "authorized_official_last_name": "DILLARD-BETHEL",
        "authorized_official_first_name": "KIMBERLY",
        "authorized_official_title_or_position": "DIRECTOR OF BUSINESS SERVICES",
        "authorized_official_telephone_number": "562-789-5401"
    },
    "taxonomies": [
        {
            "code": "207W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Ophthalmology",
            "state": "CA",
            "license": "83764",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Bright Health Physicians Eye Care Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Fullerton, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 19, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.